Active NPI
Saeed A Bagheri, MD
- Gastroenterology Physician
- Lebanon, PA
National Provider Identifier
1417977323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD041-648E
- Practice address
- 1151 Cornwall Rd
Suite 5
Lebanon, PA 17042-7233 - Phone
- (717) 270-4545
- Fax
- (717) 270-9010
- NPI assigned
- Jul 20, 2006
- Last updated
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD041-648E | PA | Primary |
Addresses
Primary practice location
1151 Cornwall Rd
Suite 5
Lebanon, PA 17042-7233
Mailing address
1151 Cornwall Rd
Suite 5
Lebanon, PA 17042-7233
Phone (717) 270-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041-648E | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Physician Services | Gastroenterology | Past | Accepting new patients |
| Good Samaritan Physician Services | Gastroenterology | Past | Accepting new patients |
| Lebanon MRI Associates, LTD | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1326064460
Gastroenterology
-
- Gastroenterology Physician
- Lebanon, PA
- NPI 1518119593
-
dba GSH Imaging Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lebanon, PA
- NPI 1912940651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1417977323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 CORNWALL RD",
"address_2": "SUITE 5",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427233",
"telephone_number": "717-270-4545",
"fax_number": "717-270-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 CORNWALL RD",
"address_2": "SUITE 5",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427233",
"telephone_number": "717-270-4545",
"fax_number": "717-270-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHERI",
"first_name": "SAEED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD041-648E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.